Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00424366-AP-375891
Provider Information
Crystal Terrace Memory Care
320 JADE TERRACE
Klamath Falls, OR 97601
- Provider ID
- 50M300
- Administrator
- Rachel Vandusen
- Phone
- (541) 273-7336
- rachelvandusen@mbk.com
Violation Details
- Date
- 9/3/2025
- Report number
- 00424366-AP-375891
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- Findings
- Alleged Victim (AV) was a 2-person assist with most of his/her care, AV is no longer able to safely self-propel using his/her assistive walking device. On or about September 03, 2025, AV had injuries to his/her left arm of unknown origin. Despite AV having a 1-1 caregiver at all times, AV sustained a skin tear to his/her left arm that was of unknown origin. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01432 $1125.00 fine assessed